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<p>A discrete painless breast lump is a common presentation in young or middle-aged women. This is often followed by triple assessment. Most of the benign discrete lumps usually represent a fibroadenoma and rarely a phyllodes tumour. Phyllodes tumour constitutes 0.3–1% all breast tumours. They are commonly seen to peak in incidence in women aged 45–49 years of age. The phyllodes tumours present with a range of pathologic spectrum from benign to malignant. The pre-operative diagnostic modalities present an obscure diagnosis of a ‘fibroepithelial lesion’, quite non-conclusive for a diagnosis. The management protocols have also been a debate among surgeons and no consensus have been reached so far. Through this ASOMA guide, we hope to provide a protocol for the accurate diagnosis and management of phyllodes tumours, based on recent evidence.</p>

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Asian Society of Mastology (ASOMA) Guide on Management of Phyllodes Tumours

  • 期刊论文

  • 发表日期：

    2025年4月20日

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  • Vandhana Rajgopal,
  • Rijuta Aphale,
  • Anita Dhar,
  • Chintamani,
  • Ismail Jatoi,
  • Sandeep Kumar,
  • Anurag Srivastava

摘要

A discrete painless breast lump is a common presentation in young or middle-aged women. This is often followed by triple assessment. Most of the benign discrete lumps usually represent a fibroadenoma and rarely a phyllodes tumour. Phyllodes tumour constitutes 0.3–1% all breast tumours. They are commonly seen to peak in incidence in women aged 45–49 years of age. The phyllodes tumours present with a range of pathologic spectrum from benign to malignant. The pre-operative diagnostic modalities present an obscure diagnosis of a ‘fibroepithelial lesion’, quite non-conclusive for a diagnosis. The management protocols have also been a debate among surgeons and no consensus have been reached so far. Through this ASOMA guide, we hope to provide a protocol for the accurate diagnosis and management of phyllodes tumours, based on recent evidence.